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Biomedical subjects

V Krinsky

Publications and source records attributed to V Krinsky.

9 recordsLinked to original sources
PubMed2004

A physical approach to remove anatomical reentries: a bidomain study.

Controlling cardiac chaos is often achieved by applying a large damaging electric shock-defibrillation. It removes all waves, without differentiating reentries and normal waves, anatomical and functional reentries. Anatomical reentries can be removed by anti-tachycardia pacing (ATP) as well. But ATP requires the knowledge of the position of the reentry, and an access to it with an invasive stimulating electrode. We show that the physics of electric field distribution between cardiac cells permits one to deliver an electric pulse exactly to the core of an anatomical reentry, without knowing its position and even to locations where access with a stimulating electrode is not possible. The energy needed is two orders of magnitude less than defibrillation energy. The results are insensitive to both a detailed ionic model and to the geometry of the fibers.

Arrhythmias, Cardiac↗
PubMed2004

Pinning force in active media.

Pinning of vortices by defects plays an important role in various physical (superconductivity, superfluidity, etc.) or biological (propagation in cardiac muscle) situations. Which defects act as pinning centers? We propose a way to study this general problem by using an advection field to quantify the attraction between an obstacle and a vortex. A full solution is obtained for the real Ginzburg-Landau equation (RGLE). Two pinning mechanisms are found in excitable media. Our results suggest strong analogies with the RGLE when the heterogeneity is excitable. Unpinning from an unexcitable obstacle is qualitatively harder, resulting in a stronger pinning force. We discuss the implications of our results to control vortices and propose experiments in a chemical active medium and in cardiac tissue.

Heart↗
PubMed2004

Unpinning and removal of a rotating wave in cardiac muscle.

Rotating waves in cardiac muscle may be pinned to a heterogeneity, as it happens in superconductors or in superfluids. We show that the physics of electric field distribution between cardiac cells permits one to deliver an electric pulse exactly to the core of a pinned wave, without knowing its position, and even to locations where a direct access is not possible. Thus, unpinning or removal of rotating waves can be achieved. The energy needed is 2 orders of magnitude less than defibrillation energy. This opens a way to new manipulations with pinned vortices both in experiments and in cardiac clinics.

Animals↗
PubMed2000

Head-on collisions of waves in an excitable FitzHugh-Nagumo system: a transition from wave annihilation to classical wave behavior.

For the particular case of an excitable FitzHugh-Nagumo system with diffusion, we investigate the transition from annihilation to crossing of the waves in the head-on collision. The analysis exploits the similarity between the local and the global phase portraits of the system. We find that the transition has features typical of the nucleation theory of first-order phase transitions, and may be understood through purely geometrical arguments. In the case of periodic boundary conditions, the transition is an infinite-dimensional analog of the creation and the vanishing of limit cycles via a homoclinic Andronov bifurcation. Both before and after the transition, the behavior of a single cell continues to be typical for excitable systems: a stable equilibrium state, and a threshold above which an excitation pulse can be induced. The generality and qualitative character of our argument shows that the phenomenon described can be observed in excitable systems well beyond the particular case presented here.

Animals↗
PubMed1999

Unpinning of a rotating wave in cardiac muscle by an electric field.

The possibility of terminating cardiac arrhythmias with electric fields of moderate intensity is a challenging problem from a fundamental point of view and an important issue for clinical applications. In an effort to understand how anatomical re-entries are affected by electric fields, we found that a weak shock, with an amplitude of an order of magnitude less than the defibrillating shock, may unpin the vortices rotating around the defects (obstacles). The unpinning results from a depolarization of the tissue near the obstacle, induced by an external electric field within a distance of order lambda approximately 1 mm. Unpinning was observed both in the FitzHugh model of excitable tissue, and in a specific Beeler-Reuter model of cardiac tissue. This theoretical observation suggests that anatomical re-entries can be transformed into functional re-entries, an effect that can be tested in experiments with cardiac muscle.

Animals↗
PubMed1998

Deexcitation of cardiac cells.

Excitation and deexcitation are fundamental phenomena in the electrophysiology of excitable cells. Both of them can be induced by stimulating a cell with intracellularly injected currents. With extracellular stimulation, deexcitation was never observed; only cell excitation was found. Why? A generic model with two variables (FitzHugh) predicts that an extracellular stimulus can both excite the cell and terminate the action potential (AP). Our experiments with single mouse myocytes have shown that short (2-5 ms) extracellular pulses never terminated the AP. This result agrees with our numerical experiments with the Beeler-Reuter model. To analyze the problem, we exploit the separation of time scales to derive simplified models with fewer equations. Our analysis has shown that the very specific form of the current-voltage (I-V) characteristics of the time-independent potassium current (almost no dependence on voltage for positive membrane potentials) is responsible here. When the shape of the I-V characteristics of potassium currents was modified to resemble that in ischemic tissues, or when the external potassium concentration (K0) is increased, the AP was terminated by extracellular pulses. These results may be important for understanding the mechanisms of defibrillation.

Action Potentials↗
PubMed1993

Wave mechanisms of pattern formation in microbial populations.

The occurrence of spatially ordered structures plays an important role in biology (examples: morphogenesis, ecosystems, dynamics of populations, etc.). Turing proposed a reaction-diffusion process that is the basis for most theoretical studies of stationary biological pattern formation. Now, when Turing structures are obtained in experiments (40 years after Turing's publication), it is interesting to discover whether Turing structures are the only mechanism used by nature in biological pattern formation. In microbial growth, we have found experimental evidence of an alternative to the Turing model that is based on waves displayed in excitable media. In studies of Escherichia coli populations, we observed that interacting taxis waves create motionless patterns. Taxis waves consuming two different substrates (serine and aspartic acid) were involved. Taxis waves consuming serine stop when they collide. However, those supported by consumption of aspartic were initiated at the collision line. Colliding and annihilating in turn, the waves give rise to stationary pattern formation, and wave theory provides an alternative to the classical Turing mechanism.

Animals↗